scholarly journals Effect of Aerobic Exercise (Walking) Training on Functional Status and Health-related Quality of Life in Chronic Stroke Survivors

Stroke ◽  
2013 ◽  
Vol 44 (4) ◽  
pp. 1179-1181 ◽  
Author(s):  
Carron D. Gordon ◽  
Rainford Wilks ◽  
Affette McCaw-Binns
2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ashiru Mohammad Hamza ◽  
Nabilla Al-Sadat ◽  
Siew Yim Loh ◽  
Nowrozy Kamar Jahan

This study aims to identify the predictors in the different aspects of the health-related quality of life (HRQoL) and to measure the changes of functional status over time in a cohort of Nigerian stroke survivors. A prospective observational study was conducted in three hospitals of Kano state of Nigeria where stroke survivors receive rehabilitation. The linguistic-validated Hausa versions of the stroke impact scale 3.0, modified Rankin scale, Barthel index and Beck depression inventory scales were used. Paired samplest-test was used to calculate the amount of changes that occur over time and the forward stepwise linear regression model was used to identify the predictors. A total of 233 stroke survivors were surveyed at 6 months, and 93% (217/233) were followed at 1 year after stroke. Functional disabilities were significantly reduced during the recovery phase. Motor impairment, disability, and level of depression were independent predictors of HRQoL in the multivariate regression analysis. The involvement of family members as caregivers is the key factor for those survivors with improved functional status. Thus, to enhance the quality of poststroke life, it is proposed that a holistic stroke rehabilitation service and an active involvement of family members are established at every possible level.


2017 ◽  
Vol 145 (9-10) ◽  
pp. 486-491
Author(s):  
Milan Mandic ◽  
Mirjana Arandjelovic ◽  
Natasa Rancic ◽  
Maja Nikolic ◽  
Zoran Velickovic

Introduction/Objective It has been estimated that 50% of strokes are preventable through the control of modifiable risk factors. The objective of the paper was to determine the correlation between the risk factors, functional status, and the health-related quality of life (HRQOL) of stroke survivors. Method The prospective cohort study was used. The study included 136 patients 30?79 years old. Functional recovery was assessed using the Barthel index (BI) and the Modified Rankin Scale (mRS). The HRQOL was evaluated by the generic Short Form 36 (SF-36) questionnaire. BI and mRS were determined at admission at the rehabilitation, one, three and six months after the stroke. The SF-36 was filled out at the same time. The analysis of the repeated measure variance (Repeated Measures ANOVA) was applied, as well as the correlation analysis and Spearman?s coefficient of rank correlation. Results A total number of 136 patients [66 (48.5%) male and 70 (51.5%) female] completed the questionnaire. The average age of stroke survivors was 63.72 ? 8.73. At admission, mRS was 4.75 ? 0.55, and six months after the stroke onset it decreased to 2.60 ? 1.08. The average value of BI at admission was 25 ? 24.66, and within six months it increased to 83.75 ? 18.59 (p = 0.001). The ANOVA showed that the values of mRS significantly decreased (p < 0.001) and the values of BI significantly increased (ANOVA: p < 0.001). All domains of the SF-36 questionnaire, except for the pain domain, significantly increased (p < 0.001). The physical function (r = 0.238; p < 0. 01), physical role (r = 0.199; p < 0.05), and emotional role (r = 0.237; p < 0.01) were significantly lower among alcohol addicts (r = 0.199; p < 0.05). Mental health (r = 0.244; p < 0.01) and social relationships domains were significantly lower among smokers (r = 0.272; p < 0.01). The general health (r = -0.290; p < 001) and health condition change domains were significantly lower among smokers (r = 0.225; p < 0.01). Conclusion The most important risk factor which was negatively correlated with the HRQOL was smoking. The patients who were smokers and alcohol addicts had a significantly smaller increase of the HRQOL domains compared to other patent groups. Six months after the stroke, all domains of the HRQOL significantly increased. The significant improvement of patients? functional status was positively correlated to the increase of their HRQOL.


2010 ◽  
Vol 37 (2) ◽  
pp. 280-288 ◽  
Author(s):  
J. M. Habraken ◽  
W. M. van der Wal ◽  
G. ter Riet ◽  
E. J. M. Weersink ◽  
F. Toben ◽  
...  

2015 ◽  
Vol 31 (9) ◽  
pp. 1871-1880 ◽  
Author(s):  
Camila Mello dos Santos ◽  
Roger Keller Celeste ◽  
Juliana Balbinot Hilgert ◽  
Fernando Neves Hugo

The aim of this study was to test Wilson & Cleary’s conceptual model of the direct and mediated pathways between clinical and non-clinical variables in relation to oral health-related quality of life. A random sample of 578 older people was evaluated. Wilson & Cleary’s conceptual model was tested using structural equations modeling including: biological variables, symptom status, functional health, oral health perceptions, oral health-related quality of life. Oral health-related quality of life was assessed with the Oral Health Impact Profile-14 (OHIP-14). In the final model, edentulism was negatively correlated to dissatisfaction of appearance of their dental prostheses (r = -0.25). Worse functional status was correlated with poor oral health perception (r = 0.24). Being aged over 68 (r = 0.25), being a female (r = 0.39) and living in rural areas (r = 0.15) had a direct effect on the edentulism. Age had a direct effect on OHIP-14 (r = -0.15). There was an indirect effect of sex on OHIP-14 via functional status (r = 0.12). The present findings partially support Wilson & Cleary’s model framework.


2019 ◽  
Vol 8 (2) ◽  
pp. 62-68 ◽  
Author(s):  
Barbara Grabowska-Fudala ◽  
Anna Smelkowska ◽  
Krytyna Górna ◽  
Krystyna Jaracz

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